Individual provider · Type 1 NPI

Kim Marie Millan, LPN

Licensed Practical Nurse · Port Jefferson Station, NY

NPI number 1528357902 Active

Practice location

395 Bicycle Path
Port Jefferson Station, NY 11776-3403

Call (631) 509-1172 Map

Mailing address

PO Box 224
Port Jefferson Station, NY 11776-0224

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X303013 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1528357902

Kim Marie Millan, LPN's National Provider Identifier is 1528357902, issued on Apr 6, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Apr 6, 2011.